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30 2015 Central Mass By The Numbers • Worcester Business Journal www.wbjournal.com Operating margins for Central Mass. hospitals FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 Source: Mass. Center for Health Information & Analysis (Note: In 2012, Heywood and Athol Memorial hospitals merged their administrative functions in a cost-savings move.) Athol Memorial Hospital -3.8% -22.4% -11.6% 0.1% 5.9% Clinton Hospital 1.6% 2.6% -1.8% -3.0% -1.0% Harrington Memorial Hospital, Southbridge 2.5% 4.2% -2.5% 2.6% -0.2% Health Alliance Hospital, Leominster 2.4% 5.6% 4.8% 2.6% 1.0% Heywood Hospital, Gardner 2.8% -1.3% 2.2% 2.3% 2.4% Marlborough Hospital 1.0% 0.9% -1.4% 0.7% 1.7% Metrowest Medical Center, Framingham and Natick -4.3% -4.5% -2.5% -0.7% -2.6% Milford Regional Medical Center 2.8% 5.8% 7.7% 4.0% 3.4% Steward Nashoba Valley Medical Center, Ayer -1.8% -1.1% -3.7% 0.3% 6.4% Saint Vincent Hospital, Worcester 9.0% 6.9% 9.9% 14.0% 15.6% UMass Memorial Medical Center, Worcester 3.5% 3.3% 0.8% -2.3% 1.1% Health Care FY 2016 $15,701.45 $740.48 $560.88 $1,605.37 FY 2015 $14,967.47 $721.56 $546.12 $1,576.55 Change $734.0 $18.9 $14.8 $28.8 MassHealth Mental Public State employee (Medicaid) & health reform health health health insurance Source: Mass. Budget & Policy Center and its budget browser Note: FY 2016 figures are adjusted for inflation. State budget dedicated to health care, in millions Adult mental health and support services is the top line item for the fiscal 2016 Massachusetts mental health budget; child and adolescent mental health services is third. Overall, statewide acute-care hospital financial performance improved from fiscal 2013 to fiscal 2014; median total margin across Mass. increased from 4.1 to 4.2 percent. Mass. 121%* $6,467 $5,825 Conn. 87% $3,411 $4,013 Maine 85% $3,873 $4,592 Vt. 93% $4,279 $4,621 N.Y. 89% $4,527 $5,055 N.J. 82% $4,102 $4,891 N.H. 80% $2,886 $3,596 R.I. 80% $3,363 $4,178 U.S. 92% $3,069 $3,341 Mental Public State employee health health health insurance Medical Loss Ratios (MLRs) for individual market insurers across eastern states: 2014 The Affordable Care Act requires individual-market insurers to spend at least 80 percent of premiums on patient care and quality improvement. Across the nation, insurers spent an average of 92 percent on these mandates in 2014, leaving 8 percent for administrative costs and profits. Source: Robert Wood Johnson Foundation, Oct. 2015 Note: Medical Loss Ratio is the percentage of patients' premiums that are used for medical care and quality improvement rather than administrative costs and profits. * Figure skewed by high net MLR of one large insurer (Neighborhood Health Plan) Total number of active medical professionals in Massachusetts Source: The Henry J. Kaiser Family Foundation, October 2015 DENTISTRY General Dentistry 4,623 Endodontist 220 Oral Surgeon 205 Orthodontist 322 Pedodontist 263 Periodontist 293 Other 417 Total 6,343 NURSING Registered Nurse (RN) 93,138 Licensed Practical Nurse (LPN) 17,411 Total 110,549 PHYSICIANS Primary Care 14,369 Specialist 17,955 Total 32,324